TRI-COUNTY PEDIATRICS LLC
NPI 1366403792
Pediatrics in Rock Hill, SC

NPI Status: Active since March 28, 2006

Contact Information

165 AMENDMENT AVE
SUITE 102
ROCK HILL, SC
ZIP 29732
Phone: (803) 329-2700
Fax: (803) 329-2788

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 42D0981460
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-27-2026

About TRI-COUNTY PEDIATRICS LLC

This page provides the complete NPI Profile along with additional information for Tri-county Pediatrics Llc, a pediatrician established in Rock Hill, South Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1366403792 assigned on March 2006. The practitioner's primary taxonomy code is 208000000X with license number 22018 (SC). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Gaurang C Shah M.d. (Managing Physician)

NPI
1366403792
Provider Name
TRI-COUNTY PEDIATRICS LLC
Entity Type
Organization
Location Address
165 AMENDMENT AVE SUITE 102 ROCK HILL, SC 29732
Location Phone
(803) 329-2700
Location Fax
(803) 329-2788
Mailing Address
165 AMENDMENT AVENUE SUITE 102 ROCK HILL, SC 29732
Mailing Phone
(803) 329-2700
Mailing Fax
(803) 329-2788
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2006
Last Update Date
03-18-2021
Code Navigator

A pediatrician like Tri-county Pediatrics Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 817 Liberty St E
    York, SC 29745
    (803) 627-2728
  • 815 Liberty St E
    York, SC 29745
    (803) 628-2728

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
22018
License State
SC
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Deluxe - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Deluxe - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GAURANG C SHAH M.D.

Authorized Official Title
MANAGING PHYSICIAN
Authorized Official Phone
(803) 329-2700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0981460
Facility Type
Physician Office
Certificate Effective Date
December 28, 2024
Certificate Expiration Date
December 27, 2026
Laboratory Director
GAURANG C. SHAH MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tri-county Pediatrics Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366403792
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126806718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 8 + 0 + 6 + 7 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1366403792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932169968DR. GAURANG C SHAH MD
Individual
Pediatrics165 AMENDMENT AVE SUITE 102
ROCK HILL, SC 29732
(803) 329-2700
1619456316MRS. ERICA WHITE ARNAUTOVIC FNP
Individual
Nurse Practitioner (Family)165 AMENDMENT AVE
ROCK HILL, SC 29732
(803) 329-2700
1669201844 LAURINA PRITCHARD MSN, APRN, CPNP-PC
Individual
Nurse Practitioner (Pediatrics)165 AMENDMENT AVE
ROCK HILL, SC 29732
(803) 329-2700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366403792, enumerated in the NPI registry as an "organization" on March 28, 2006

The provider is located at 165 Amendment Ave Suite 102 Rock Hill, Sc 29732 and the phone number is (803) 329-2700

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 42D0981460 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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